| NPI | 1003973066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4046-26) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: WI 4046-026) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-05-05 |